Healthcare Provider Details

I. General information

NPI: 1306935960
Provider Name (Legal Business Name): LAURA SUSAN BAER L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 01/26/2025
Certification Date: 01/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 CLERMONT ST
DENVER CO
80220-3808
US

IV. Provider business mailing address

1121 ALBION ST APT 309
DENVER CO
80220-2363
US

V. Phone/Fax

Practice location:
  • Phone: 720-280-1230
  • Fax:
Mailing address:
  • Phone: 720-280-1230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number53
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: